Contribution of the portable gamma camera to detect the sentinel node in breast cancer during surgery.
Rev Esp Med Nucl Imagen Mol
; 31(3): 130-4, 2012.
Article
en En, Es
| MEDLINE
| ID: mdl-21794956
ABSTRACT
AIM:
To show our experience using the portable gamma camera during surgery in the detection of the sentinel node in breast cancer. MATERIAL ANDMETHODS:
A total of 46 women diagnosed with breast cancer were included. This study was carried out by means of the periareolar intradermal injection. Planar images and SPECT/CT were acquired. On the following day, the sentinel nodes were localized intraoperatively with a portable gamma camera and a gamma probe. Images of the anterior axillary line projection and lateral axillary line projection were acquired before and after extraction of all the sentinel nodes.RESULTS:
The images acquired with the portable gamma-camera during the operation showed no activity in all of the patients after the removal of the sentinel nodes. In four out of the 46 cases, the portable gamma camera provided relevant information during the procedure (it detected a sentinel node in two cases in which it had not been detected prior to the surgery and it oriented the surgeon in the localization of low activity nodes when the probe screening had been negative).CONCLUSIONS:
The use of the intraoperative portable gamma camera to detect the sentinel node in breast cancer patients is useful in order to ensure, independently of the surgeon, that all the sentinel nodes have been removed. It can also help guide the surgeon in the event of a single low activity sentinel node.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Neoplasias de la Mama
/
Cámaras gamma
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Tomografía Computarizada de Emisión de Fotón Único
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Biopsia del Ganglio Linfático Centinela
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Cuidados Intraoperatorios
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Metástasis Linfática
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Idioma:
En
/
Es
Revista:
Rev Esp Med Nucl Imagen Mol
Año:
2012
Tipo del documento:
Article